51226CIooq� Lot No.
v
No. Street
APPLICATION FOR BUILDING PERMIT
.CITY OF CUPERTINO G��U/
Sanitary No. S'' `-'-'
File No.�
Da to
1�8-
Ao cation is hereby a for a permit to
story, Type
to be occupied ly as � ei`
FEE$
Owner
Conti.
Phone
in accordance with Plot Plan, Plans and Specif' aI' filed herewith.
$ ��
Plan Chi
Estimated Volue of Improvements
Address
Address
Sta or f
Approvec
APPLICATION FOR ELECTRICAL PERMIT
�y a
Data 1 � r 196 FEE$
Conti. —'�Ilji F oC`Ld4 Address Il 7�D� �2:1�)rgs/
a( t
Phone - 7-z n n_l Li / State License t /),Ou
Approved z9l�-w-� /� f
APPLICATION FOR PLUMBING $ GAS PERMIT 1f
Dote / �' 196 -71 GAS FEE b
\ PLUMBING FEE $ Sa
Cont'. Address c,�-yh-0 ��.•--^'c-•�-vV�lr
Phone 378 - 69 c/ State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 ? FEE$
Conti. mar Address - /r9e) N
Phone State License -2,51-
Approved
9pplicants agree not to violate any of the
Vorkman's. Compensation Laws of the
itate of California
C,
RECORD OF INSPECTION APPROVALS
coon. alLe : Qw
BUILDING
DATE INSPECTO
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. E
MISC.
ELECTRICAL P 61 9�ikolq 1
DATE INSP TOR �/ b "
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH /
ROUGH COMPLETE 2-
MAIN DRAIN 3 7'1- 7
FINAL PLBG. --2.7 1 Vv
-
FINAL GAS
FINAL APPLIANCE
3-q-71 9.1.
DATE
MISC
MISC
INSP
•TI
MI
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... ...................... 19---
7� Building Permit No.
- I ..... 7 ............
The Building Located at ... f . Y. ..
A I I,ff -
Ownedby ---.................... - -----------------------------------------
Has Beenkenfffo- or Use As: ..
..........................
(Altered)
/ay -5 j gi . zdi LOT NO.
NO. STREET
A n la-496ION
FOR PLUMBING PERMIT
OP CUPP.RTINO
t 196_
Sanitary No.
�pT'n n Permit No 5('Z.26
r Dah1kl�`{ Pees 2850
(1jWplNronWrc } o the City of Cupertino for a permit to install plumbing
`pipes and%or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
C iiWfl/U%Ctif� /(� b•tti
O �CjO NGTRAC OpR, AGENT
3 am Phone
wz �+
QU C, State License. 17,24,
Add
Approved
!!� PLUMBING INSPECTOR
FtAr,er CoouT
oK .-
_ 415768
FIXTURES
NUMBER
MAIN DRAIN
Units Fees
Units Fees
Water Heater
—b 11
Size '
Water Closet
ru
Materia
Bath Tub
To Curb
Shower
To Prom Line✓
Lavatories
To Existing
Kitchen Sink
Not Conn
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Water Sys. Fee
Total Fee